Individual
MIRANDA MARIE GRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1330
(304) 598-1609
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
104503
WV
Other
Enumeration date
09/11/2019
Last updated
10/10/2023
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